Medscheme / Nedgroup Medical Aid Scheme Update

The Nedgroup Medical Aid Scheme has restructured its Traditional Plus Plan. The 'new' option is called the Comprehensive Plan and includes a savings component.

Medscheme will in future provide all administration services and managed care services for the new Comprehensive Plan, as it does for the other four Scheme options. Members who are currently on the Traditional Plus Plan will be defaulted to the Comprehensive Plan, effective from 1 January 2018.

These members' membership numbers will remain the same, but the Plan name and code on their cards will change. Make sure that the correct Plan name and code appear on all your claims. Send all claims for services rendered up to and including 31 December 2017 to the previous administrator. MMI Health (previously ONECARE). Send all claims for services rendered from 1 January 2018 to Medscheme.

Click here to download the appendix for more detailed information on claims and various services.